Organization
BHS PHYSICIAN SERVICES OF SOUTH CAROLINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JONATHAN HOREY (PRESIDENT)
(973) 330-9415
Entity
Organization
Contact information
Practice address
2200 MAIN ST, HILTON HEAD ISLAND, SC 29926-1667
(973) 330-9415
Mailing address
160 CHUBB AVE, LYNDHURST, NJ 07071-3526
(973) 330-9415
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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